Primary Care

Assisting the body for natural conception

Sometimes all your body needs in order for you to conceive is a bit of help from a medical professional. We will need to do a series of tests in order to determine exactly what medication or procedure you need.

 

Hormone therapy

Fertility drugs remain the primary treatment for women with ovulation disorders. Some are taken orally and some are injected. In general, these medications work by causing the release of hormones that either trigger or regulate ovulation. If you have a hormone imbalance, we will need to identify this and then determine which fertility drug is best for you.

 

Medication and drug administration

There are a range of medications and medical drugs available for you depending on your condition. We are experts at determining which is the right prescription for you. You can rest assured that with us you will be receiving the best diagnosis possible and that our diagnosis will give you the best possible chance of getting pregnant.

 

Menstrual irregularities

Having irregular periods, no periods, or abnormal bleeding often indicates that you aren't ovulating, a condition known clinically as anovulation. Although anovulation can usually be treated with fertility drugs, it is important to be evaluated for other conditions that could interfere with ovulation, such as thyroid conditions or abnormalities of the adrenal or pituitary glands. This is why it is important to diagnose or rule out this potential cause of your fertility problem.

Irregular or abnormal ovulation accounts for 30% to 40% of all cases of infertility.
Ovulation problems

An ovulation problem occurs when eggs don't mature in the ovaries or when the ovaries fail to release a mature egg. Possible symptoms include absent or infrequent periods, unusually light or heavy menstrual bleeding, or lack of such premenstrual symptoms as bloating or breast tenderness. Possible solutions include managing body weight if it's too low or too high and taking fertility drugs.

 

Miscarriage

Having a miscarriage or even two, does not make you less fertile. But having several miscarriages in a row may be a clue that you have an existing condition that is affecting your fertility. We will do a number of tests to determine whether this is the case, and if so what the condition is.

 

Fibroids

Uterine fibroids are benign (noncancerous) growths of the muscular wall of the uterus. Fibroids can impact fertility if they grow inside of the uterus. They change the environment of the uterus in a way that can interfere with embryo implantation or predispose a woman to have early miscarriages. We will identify this as a potential barrier to your pregnancy and treat the fibroids appropriately, usually with surgery.

 

Cysts

An ovarian cyst is a fluid-filled sac that forms in the ovary. Ovarian cysts are common and, in the vast majority of cases, they are benign (non-cancerous) in patients younger than 35.

Ovarian cysts affect fertility if they interfere with normal ovulation or represent a mechanical obstacle for the fertilization process. We will determine the nature of any cysts you may have, as well as how they should be treated. In some cases it may be necessary to surgically remove cysts.

 

Blocked Fallopian Tubes

A fallopian tube blockage typically prevents successful passage of the egg to the sperm or the fertilized egg to the uterus. Surgery can be used to try to correct this common cause of infertility. The specific type of surgery depends on the location and extent of the Fallopian tube blockage. We will determine which type of surgery is necessary.

 

Post Abortion Damage

Can a previous abortion affect your chances of getting pregnant? Probably not. However, in rare cases, multiple dilations and curettages (the cleaning out of the uterus, also known as a D&C) can cause scarring at the top of the cervix or inside the uterus. A procedure called hysteroscopy (when a small camera is placed through your cervix into your uterine cavity) can check for this problem and usually repair the scar tissue at the same time. Our team can perform this procedure if necessary, if it is found that this is the reason you can’t get pregnant.